title: [Peripheral regional block role in orthopedics in pediatric patients with cerebral palsy].
abstract: Haemodynamics of 58 Pediatric patients with cerebral palsy was studied during combined anaesthesia based on sevoflurane and peripheral nerve block. Sevoflurane and peripheral nerve block with infusion support 14-15 ml/kg/ hr provide stable cardiac output during orthopedic surgeries in Pediatric patients with cerebral palsy. Excessive arterial hypotension and total peripheral vascular resistance decrease were registered in older patients as results of more pronounced vascular effect of anaesthetics in patients with decreased adaptive-compensatory possibilities and insufficient infusion support. The proposed anaesthesia method provides adequate intraoperative analgesia, fast recovery and comfortable postoperative period.
authors.forename: A V
authors.initials: AV
authors.lastname: Diordiev
authors.forename: V L
authors.initials: VL
authors.lastname: Aizenberg
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000762:Anesthesia Recovery Period; D000765:Anesthesia, Conduction / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D002302:Cardiac Output / Q000502:physiology; D002547:Cerebral Palsy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008297:Male; D008738:Methyl Ethers / Q000008:administration & dosage; D009407:Nerve Block / Q000379:methods*; D019637:Orthopedic Procedures / Q000379:methods*; D011184:Postoperative Period; D000077149:Sevoflurane; D014655:Vascular Resistance / Q000502:physiology
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane